You are on page 1of 1

<\ICNc Amounl

Account rftle

s machrne
Ire accepted
validation
sub;eclto
WIllconslitute
subsequent
acknowledgement
verification.
01 r(' :elpt of payment
Collection and hnal payrnent.
PAN/GIRNo.1A A r3 c. N 7 q :2 3 f(j
(Mandatory tor specified transactIOnS as per Income Tax rules ,
Total
tl
Standard ~
;hartered ~
Checked By Transaction Reference
I CD = Cash Deposit
-aD = Clearing Deposit
6Local Cheque
o Outstation Cheque

0 Dividend/Interest Warrant
TD = Transfer Deposit I
o 8CB Cheque 0 Cash Customer Copy

- - -- -

" Bank Use only


Date Time J'JC No. I Amount

Others

Coins

Total
hi:: Bank ,machlf1e
1""IPQuesareac:eptejSlJbt.;
vahdatiOf WII
:110
)f'\slitule ackn<)Wlqdgem
uQ,>eQl ~I>'tflficah)f"
~t of receipt
{)I !CtlOOand
of payment.
hnal payment. PAN/GIR No.1 ~ A I:' C'...I 7 J":'3 R..
(Mandatory for s;:>eClfied
transactions as per Income Tax rules I
I
Checked By I Transaction Reference I

Standard
Chartered
~
~ I
CD = Cash Deposit
vae = Clearing Deposit
TD = Transfer Deposit I
rn-cocal Cheque
0 Outstation Cheque
o Dividend/Interest Warrant
o 8CB Cheque 0 Cash
Customer Copy
j